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Sustaining Family Physicians in Urban Underserved Settings.

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Factors sustaining family physicians in underserved urban areas include cognitive traits, core values, specific skills, and robust support systems. Addressing these can improve physician retention in these vital communities.

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Area of Science:

  • Medical Education
  • Public Health
  • Qualitative Research

Background:

  • Underserved urban communities face persistent challenges in retaining family physicians.
  • Understanding the factors that support physicians in these demanding roles is crucial for healthcare access.

Purpose of the Study:

  • To identify key factors that contribute to the sustained practice of family physicians in Milwaukee's underserved urban areas.

Main Methods:

  • A qualitative approach using semi-structured interviews with family physicians practicing in underserved urban settings.
  • Grounded theory analysis was employed to identify emergent themes from transcribed and de-identified interviews.

Main Results:

  • Six family physicians were interviewed, revealing four domains critical for sustainability: cognitive traits (resilience, flexibility), core values (social justice), skills (self-care, communication), and support systems (family, employer, team).
  • Physicians perceived the challenges of urban underserved practice as intrinsically rewarding, aligning with their values and skills.
  • Personal attributes and skills were shaped by a range of life and professional experiences.

Conclusions:

  • Family physicians in underserved urban settings possess a unique combination of values, cognitive traits, skills, and support systems.
  • Training programs could enhance physician retention by focusing on the identified personal and professional skill sets crucial for these roles.